Doctor Name: | JULIE NUGENT |
NPI Number: | 1013323278 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACNPC-AG |
License Number: | AP125950 |
Business Practice Address: | 2215 E Villa Maria Rd Suite 110 Bryan, TX - 778022584 |
Business Phone Number: | 9797762000 |
Business Fax Number: | |
Mailing Address: | 5301 Draycott Ct, BRYAN |
State: | TX |
Postal Code: | 778026065 |
Phone Number: | 9792297536 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2014 |
NPI Last Update Date: | 07/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | AP125950 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |